How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $338.84 | Professional | None | $20.42 | $20.42 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $46.77 | Facility | None | $36.31 | $43.65 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $26.30 Typical High $66.07 | Professional | None | $7.08 | $26.30 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $48.98 Typical High $64.57 | Facility | None | $42.66 | $48.98 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $43.65 Typical High $52.48 | Professional | None | $9.55 | $43.65 | $52.48 |
DeanCare Setting Facility Modifier None Typical Low $12.88 Median $31.62 Typical High $44.67 | Facility | None | $12.88 | $31.62 | $44.67 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $15.85 Typical High $79.43 | Facility | None | $12.88 | $15.85 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $13.49 Typical High $47.86 | Professional | None | $4.90 | $13.49 | $47.86 |
Network Health Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $25.70 | Facility | None | $8.91 | $8.91 | $25.70 |
Network Health Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $47.86 | Professional | None | $11.22 | $16.98 | $47.86 |
Prevea360 Setting Facility Modifier None Typical Low $12.88 Median $14.13 Typical High $21.38 | Facility | None | $12.88 | $14.13 | $21.38 |
Quartz Setting Professional Modifier None Typical Low $18.62 Median $39.81 Typical High $60.26 | Professional | None | $18.62 | $39.81 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $43.65 | Professional | None | $8.13 | $9.55 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | None | $35.48 | $35.48 | $39.81 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $117.49 | Professional | None | $39.81 | $46.77 | $117.49 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $54.95 | Professional | None | $7.08 | $10.00 | $54.95 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $169.82 | Professional | 52 · Reduced service | $10.00 | $10.00 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $69.18 | Professional | 53 · Discontinued | $4.07 | $4.07 | $69.18 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 9th of 51
$24.55
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.